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Contact Information

KEAVENY KORNER DRUG INC
110 MAIN ST
CLARA CITY, MN56222
 Phone: 320-847-3784
 Fax: 320-847-3787
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KEAVENY KORNER DRUG INC

NPI Number 1922132463
LBN Legal business name KEAVENY KORNER DRUG INC
Authorized official DEBORAH KEAVENY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/15/2007
Last updated 04/25/2013 - About 13 years ago
Identifiers
MN License # 263978
Other 2138315 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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